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Johnson, the bill author, told the Senate committee he was following the lead of Arkansas and Kentucky, which recently passed their own work requirements for Medicaid.

“I understand that it’s difficult to bootstrap yourself off [Medical Assistance], but some may need a little extra incentive to do that,” Johnson testified.

Critics point out that Minnesota is not like other states that have passed similar work requirement laws. According to the Bureau of Labor Statistics, Minnesota has the second-highest workplace participation rate in the country, at 71.2 percent. Kentucky's 59.7 percent workforce participation ranks 43rd (59.7 percent) and Arkansas sits at 46th (58.5 percent).

“Minnesota works, and one of the reasons our people can work is because we’ve made a commitment to make sure that they have their health,” said Lourey.

Opponents also say the bill would be an administrative nightmare. If it becomes law, the state government would be required to monitor Medical Assistance recipients’ employment status. Doing so would mean the Department of Human Services and counties across Minnesota would have to go on a hiring bonanza, inflating the bureaucracy with hundreds of new case workers. The DHS estimates the bill could cost the state $7 million or more by 2021.

Lourey acknowledges the contributions of 201 state legislators would hardly have made a dent in the influx of new responsibilites. But he says determining who’s eligible for Medicaid would help them understand the reality of what it’s like to be on Medicaid.

“This [bill] is based on a fallacy,” said Lourey. “Most people use these programs when they need them and move on.”

A
recent study
from the American Economic Association found Medicaid expansion caused little to no reduction in employment levels, while
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in the Journal of the American Medical Association argued that Medicaid work requirements are a costly solution for a nonexistent problem.

“It’s not clear how much it would cost to implement such a program and whether that cost might exceed the savings,” the American Medical Association article stated. “It’s not even clear whether this program would achieve even the most basic rationale of incentivizing more able-bodied beneficiaries to work.”